Implanting a Defibrillator Under the Skin

Nationwide rates for HCPCS 33270

Places or replaces a defibrillator system that sits entirely under the skin, with the generator at the side of the chest and its sensing wire running beneath the skin alongside the breastbone. Nothing is threaded through veins or into the heart itself. Testing during the operation confirms that the device recognizes a dangerous rhythm and can deliver a shock.

Rates data updated July 2026.

How much does Implanting a Defibrillator Under the Skin cost?

$8,477

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $8,477 for this procedure. That total is two separate charges: $891 to the doctor who performs it, and $7,586 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

11% physician fee89% facility fee

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 55 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$891	$589 to $1,230
Facility feeThe hospital or surgery center	The hospital or surgery center	$7,586	$3,236 to $16,982

How much rates vary

Facilitymedian $7,586 · 10th to 90th $1,023 to $47,863Professionalmedian $891 · 10th to 90th $490 to $2,291

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $831.76 Median $4,677.35 Typical High $21,877.62	Facility	Global	$831.76	$4,677.35	$21,877.62
BCBS Setting Facility Modifier Global Typical Low $5,011.87 Median $11,748.98 Typical High $38,904.51	Facility	Global	$5,011.87	$11,748.98	$38,904.51
Cigna Setting Facility Modifier Global Typical Low $1,202.26 Median $19,054.61 Typical High $97,723.72	Facility	Global	$1,202.26	$19,054.61	$97,723.72
United Setting Facility Modifier Global Typical Low $5,888.44 Median $27,542.29 Typical High $85,113.80	Facility	Global	$5,888.44	$27,542.29	$85,113.80

What it costs in each state

The same service costs 12.3 times more in Colorado than in Oregon. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Touch or drag across the chart to see any state's rate.

CO $27,177OR $2,218

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.